Individual
MR. SERGIO ANTONIO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1063 14TH ST, LAFAYETTE, OR 97127-9657
(971) 300-8347
Mailing address
1063 14TH ST, LAFAYETTE, OR 97127-9657
(971) 300-8347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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